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非自杀性自伤:新冠疫情期间针对青少年的一项基于学校的同伴教育项目

Non-Suicidal Self-Injury: A School-Based Peer Education Program for Adolescents During COVID-19 Pandemic.

作者信息

Cipriano Annarosa, Aprea Cristina, Bellone Ludovica, Cotrufo Paolo, Cella Stefania

机构信息

Observatory on Eating Disorders, Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.

出版信息

Front Psychiatry. 2022 Jan 13;12:737544. doi: 10.3389/fpsyt.2021.737544. eCollection 2021.

Abstract

Non-suicidal self-injury (NSSI) constitutes a major health concern among youth. However, less is known about the useful ways to prevent NSSI. As such, the NSSI- Peer Education Program (NSSI-PEP) aims to intervene on the vulnerability factors that predispose to NSSI by applying a peer education approach. The NSSI-PEP is grounded on the psychoanalytic tradition's tenets, implementing modules targeting four crucial risk factors for NSSI: pubertal transformation, body image, self-esteem, and emotion regulation. Selected 8 grade students were trained to serve as peer educators and held a peer-education intervention for 6 and 7 grade students. Pre- and post-intervention assessments were conducted in order to evaluate the program's effectiveness. Results revealed preliminary support for the program's feasibility, as students reported greater emotion regulation abilities ( = 0.038) and significant changes in self-esteem (<01), personal alienation ( = 0.005), body image ( < 0.001), and maturity fear ( < 0.001). Also, NSSI-PEP was positively evaluated by participants. Our pilot study provides preliminary empirical support for the NSSI-PEP, representing a promising way to address areas of vulnerability for NSSI onset. Findings may also help current policies to promote targeted preventive activities and produce sizable benefits to society.

摘要

非自杀性自伤行为(NSSI)是青少年健康领域的一个主要问题。然而,关于预防NSSI的有效方法,我们了解得还比较少。因此,非自杀性自伤同伴教育项目(NSSI-PEP)旨在通过采用同伴教育方法,干预导致NSSI的易感性因素。NSSI-PEP基于精神分析传统的原则,实施针对NSSI四个关键风险因素的模块:青春期转变、身体意象、自尊和情绪调节。挑选八年级学生接受培训成为同伴教育者,并对六、七年级学生进行同伴教育干预。在干预前后进行评估,以评估该项目的效果。结果显示该项目具有初步可行性,因为学生报告说情绪调节能力有所提高(=0.038),自尊(<0.01)、个人疏离感(=0.005)、身体意象(<0.001)和成熟恐惧(<0.001)都有显著变化。此外,参与者对NSSI-PEP给予了积极评价。我们的试点研究为NSSI-PEP提供了初步的实证支持,这是解决NSSI发病易感性领域问题的一种有前途的方法。研究结果也可能有助于现行政策推动有针对性的预防活动,并为社会带来可观的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0a9/8793799/0306675db3d2/fpsyt-12-737544-g0001.jpg

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